Office visit, established patient (20-29 min)
Facility: St Francis Hospital
Billing Code: 99213 (CPT)
Lowest price of the 8 DE hospitals we have prices for — a strong deal.
Black dot = this hospital, among the 8 DE hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $71 (about 0.7× the $95 Medicare rate). St Francis Hospital charges insurers about $63, or about $138 in cash — below the fair price — a good deal. Located in Wilmington, DE.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $45 - $63 | 47% |
| Blue Cross Blue Shieldmajor | $52 - $74 | 55% |
| Aetnamajor | $56 - $118 | 59% |
| Cignamajor | $56 - $114 | 59% |
| Humanamajor | $56 - $63 | 59% |
| Kaiser Permanentemajor | $71 | 75% |
| Ambetter (Centene) | $63 - $80 | 66% |
| Clover Health | $56 | 59% |
| Dean Health Plan | $115 - $119 | 121% |
| GEHA | $45 | 47% |
| Health Net | $63 - $82 | 66% |
| HealthPartners | $63 | 66% |
| Meridian | $56 - $63 | 59% |
| Molina | $63 | 66% |
| Paramount | $63 - $119 | 66% |
| Presbyterian | $56 - $63 | 59% |
| Tufts Health Plan | $63 | 66% |
| WellMed | $56 | 59% |
| WellSense | $63 | 66% |
| + 346 smaller / regional plans | $56 - $126 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St Francis Hospital
Compare: Office visit, established patient (20-29 min) at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $87
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $87
- Beebe Medical Center · Lewes $102
- Bayhealth Medical Center, Kent Campus · Dover $108
- Tidalhealth Nanticoke, Inc. · Seaford $108
- Bayhealth Hospital, Sussex Campus · Milford $108
- Nemours Children's Hospital, Delaware · Wilmington $144
Insurance negotiated median for the same procedure, sorted lowest first.